The Growing Challenges to State Telephone Surveys of Health Insurance Coverage: Minnesota as a Case Study

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Presentation by Kathleen Thiede Call at the AcademyHealth Annual Research Meeting, June 7 2008.

Economy & Finance Business

Growing Challenges to State Telephone Surveys of Health Insurance Coverage: Minnesota as a Case Study Supported by a grant from the Minnesota Department Health Kathleen Thiede Call, Ph.D. AcademyHealth State Health Research & Policy Group Meeting Washington DC June 7, 2008

Overview of Talk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

State Health Insurance Surveys ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Methodology ,[object Object],[object Object],[object Object],[object Object],[object Object]

Minnesota Health Access Surveys Response rates in 1999, 2001, 2004, 2007 are based on AAPOR RR4. Current analysis is limited to data from last three years using a consistent sample design.

Challenges to RDD Surveys ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is Known about Sample Coverage Error ,[object Object],[object Object],[object Object],[object Object]

Characteristics of Wireless Only Households (Blumberg & Luke, 2008) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenges: Comparison of 2001-07 Sample to Population Controls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Comparison of 2001-07 Sample to Population Controls, Continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Method to Deal with Challenges: Post-stratification Weights ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Impact of Post-stratification on Uninsurance Estimates Baseweight adjusts for sample stratum, probability of selection by number of phones and number of people in household. Demographic weight adjusts for region by age, race, and telephone interruption. Wireless demographic weight adjusts for age by education and homeownership in 2007. Nativity weight adjusts for race/ethnicity by US and non-US born.

Summary of Findings ,[object Object],[object Object],[object Object]

Implications ,[object Object],[object Object],[object Object],[object Object],[object Object]

Thank you State Health Access Data Assistance Center (SHADAC) 2221 University Avenue, Suite 345 Minneapolis Minnesota 55414 (612) 624-4802 www.shadac.org [email_address]

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According to this idea that gender is socially constructed, answer the following questions: 1. What does it mean to be a man in the U.S.? What does it mean to be a woman? 2. From what institutions do we learn these gender roles? 3. How do these clips demonstrate the ways in which gender is socially constructed in the U.S.? Do the concepts discussed in the clips resonate with you? Why or why not? In Persepolis, the main character Marji struggles to define her identity as an Iranian woman in a changing society. · What roles are depicted for women in Iranian society in the film? How do they change over time? · How does Persepolis demonstrate the ways in which gender and identity are influenced in many ways, by different processes across cultures? How are gender roles in Iran similar, or different to gender in the U.S.? · What are some of the stereotypes that exist about Muslim women and how does Abu-Lughod in “Do Muslim Women Need Saving” and Persepolis complicate these stereotypes? Answer the following questions 2 full pages Running head: MAJOR HEALTH CARE PROBLEMS IN THE U.S. 1 Major Health Care Problems in the U.S. Jane Doe ID: 1212121 MAJOR HEALTH CARE PROBLEMS IN THE U.S. 2 Major Health Care Problems in the US Problem statement: High and continuously rising cost of health care has been and still is one of the biggest challenges affecting the Health Care system in United States. Methods of Examining the Problem Both qualitative and quantitative research methods should be used to fully understand the issue of high cost of care in the US. Quantitative methods like surveys and experimentations will aid in estimating the prevalence, magnitude and frequency of the problem in different regions. On the other hand, qualitative methods like case studies and observation will help describe the extent and complexity of the issue. The two approaches need to work in complementation to obtain a clear understanding of this menace. Surveys, as a quantitative research method, is one of the most effective in the social research and present a more viable method of examining the cost of health in the country. They involve asking of questions in the form of questionnaires and interviews. Questionnaires are written questions to which the response can be open ended or multiple-choice format. This would be used to gain information about cost within determinants that are of disagree/neutral/agree nature. An example is if patients are contented with the cost of services they get or they deem the cost of cover worthy. Interviews, the researcher discussing issues with the respondents, are to be used to gain more details on already known aspects of the system. This may include gathering information to inform policies, administration and use of technology to minimize the cost of care. Since health cost in the US is not a new challenge and there have been studies about it, qualitative methods like .

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